Nutcracker syndrome: a case report

Abstract

Nutcracker Syndrome is a rare disease of varied etiology and clinical presentation. It is described that Computed Tomography scan or Magnetic Resonance Imaging, followed by Doppler ultrasonography or venography for confirmation, are the diagnostic methods of choice. We report the case of a 35-year-old female patient who presented with macroscopic hematuria, fever and lumbar pain. She was managed with open surgical approach, the standard of care by many experts, with a double shunt performed: one between the left renal vein and the distal inferior vena cava and another between the left and right gonadal veins.